Individual provider Active NPI

Matthew Ferreira, MSW

  • Mental Health Counselor
  • New Haven, CT
National Provider Identifier
1811262116
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82070400001 Issued in CT
Practice address
48 Howe St Ste 4
New Haven, CT 06511-4620
Phone
(833) 999-7662
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 82070400001 CT Primary

Addresses

Primary practice location

48 Howe St Ste 4
New Haven, CT 06511-4620

Mailing address

48 Howe St Ste 4
New Haven, CT 06511-4620
Phone (833) 999-7662

Other practice location 1

199 Britannia St
Meriden, CT 06450-2229
Phone (203) 600-9952

Other identifiers 2

IdentifierTypeStateIssuer
XGN9990876089OtherCTANTHEM
85-4047542OtherCTDEPARTMENT OF PUBLIC HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL romacounselinggroup.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82070400001CTMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1811262116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HOWE ST STE 4",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114620",
            "telephone_number": "833-999-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HOWE ST STE 4",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114620",
            "telephone_number": "833-999-7662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Britannia St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064502229",
            "country_code": "US",
            "telephone_number": "203-600-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "82070400001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "XGN9990876089",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "85-4047542",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "romacounselinggroup.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "48 Howe St Ste 4",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065114620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.